MEDICARE: DR. JENNIFER ELIZABETH BALDWIN DNP, ENP, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP112079	TX

General Provider Information

NPI Number	:	1447250733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ELIZABETH BALDWIN DNP, ENP, FNP

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD SLOT 8890
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8890
Country	:	US
Telephone Number	:	214-822-6929
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 AZALEA WAY
Second Line	:
City	:	MARSHALL
State	:	TX
Zip	:	75672-9265
Country	:	US
Telephone Number	:	903-387-1044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/06/2025

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